• Journal of Oral Medicine and Pain
• /
• v.26 no.4
• /
• pp.377-393
• /
• 2001

In order to study the closure stage of cranial sutures and its correlations with age, the ectocranial closure stage of coronal suture, sagittal suture, and lambdoidal suture of 67 skulls was measured. Among the skulls kept at the department of anatomy, college of medicine, Yonsei University, the ones with ages identified were used for this study. These measurements of suture closure were conducted by 4 examiners independently. The sutures were further divided by Frederic's method into 16 suture parts. The closure stages were classified by five stages of Broca-Ribbe. The following results were obtained: 1. The inter-observer reliability among 4 examiners showed high intraclass correlation coefficient of over 0.75(mean : 0.856) in all suture parts. Therefore, the determination of closure stage wasn't influenced by the subjective view of each examiner. 2. In all suture parts, the closure stage increased proportionally with age.(p<0.01) In terms of each suture part, the S2 part of sagittal suture showed the highest correlation(68.1%) while the L1-R part of lambdoidal suture showed the lowest correlation(51.3%). In addition, in terms of suture types, the correlation with age decreased in the order of sagittal suture(60.0%), coronal suture(57.7%), and lambdoidal suture (55.7%). In general, the average value of suture closure stages had 57.8% correlation with age(p<0.01). 3. The most frequent suture closure stage according to age group was '0' for ages below 30, '0' and '1' for ages within the 30's, '1' and '2' for ages within the 40's, and '2' for ages within the 50's. With older age groups, the frequency of '3' and '4' increased, and the suture closure stage increased proportionally with age. 4. The mean age by closure stage of each suture were within the 40's for the closure stage of '1', within the 50's for the closure stage of '2', and from 50's through 60's for the closure stage of '3'. The standard deviation was over 10 for all closure stages. In addition, at the same suture closure stage, the mean age according to the coronal suture was higher than the ages according to the sagittal suture or lambdoidal suture. Especially, C1-R, C1-L, C2-R, and C2-L parts showed the highest age when at the same suture closure stage. 5. The values appropriate for age estimations using suture closure stages of 16 suture parts were calculated, and a calculator for age estimation ($R^2=0.6944$, p<0.01) by ectocranial suture closure stage for Koreans is presented. From the above results, the method of using the closure stage of sutures of the skull to estimate age can be useful in individual identification of forensic science. Further extensive and accurate research using larger samples would be worthy of study.

• Transactions of the Korean Society of Mechanical Engineers
• /
• v.10 no.2
• /
• pp.188-197
• /
• 1986

With respect to structural carbon steel(SM 22C), it was studied how the overstress or the understress has effects on fatigue inside crack propagation curve of a two level stress. Obtained results are summarized as follows. (1) The overstress or the understress, at a slip band occurrence stage, does not change the inside crack propagation curve because the crack closure and opening phenomena do not happen. (2) The overstress, at a crack propagation stage, does not change the inside crack propagation curve because the crack closure of overstress in compressive state is nearly same that of base stress in compressive state. (3) The understress, at a crack propagation stage, give rise to an acceleration of crack growth because the crack closure of understree in compressive state is more open than that of base stress in compressive state and the phenomenon is the essential increase of the actual applied stress of the specimen.

• Proceedings of the KSME Conference
• /
• 2004.11a
• /
• pp.214-219
• /
• 2004

Crack tip behavior of single mode loading condition(mode I)depend on tensile loading component but one of mixed mode loading condition(mode I+II) have influenced on shear loading component like the practical structure. Because crack closure is caused by shear loading component under mixed-mode loading a research on the behavior in the stage of crack initiation and propagation require to be evaluate about crack closure effect by fatigue crack surface friction. For that reasion we examined the behavior at the crack tip by direct measuring method. Measured behavior at the crack tip was analyzed through vector crack tip displacement. As a result, crack propafation equation was corrected by considering with crack closure effect. In addition we compared fatigue fracture crack surface and crack closure level.

• Phonetics and Speech Sciences
• /
• v.2 no.2
• /
• pp.79-83
• /
• 2010

As bolus enters the pharynx during the swallow, laryngeal closure takes place by approximating the epiglottis to the arytenoid Laryngeal Closure Duration(LCD) is the duration of contact between the arytenoids and the epiglottis from the first contact to the last(Logemann et al, 2000). Epiglottic inversion continues pharyngeal swallow stage is completed in order to protect the airway. The purpose of this study is to measure layrngeal closure duration (LCD) in three groups of subjects: a) 10 stroke patients who aspirate before and during the swallow(aspirators), b) 10 stroke patients who do not aspirate during the swallow c)10 normal control subjects. Means and standard deviation of LCD was analyzed in both 5ml and 10 ml thin liquids using 100msec timer in videoflouroscopic swallowing examination. The mean for each group was 0.15 seconds shorter from aspirators to control group. There was a significant difference between aspirators and normal subjects for laryngeal closure duration during the swallow. Laryngeal closure duration after a stroke lead to aspiration. However, only one of this temporal problem may not be enough to aspiration.

• Journal of the Korean Society for Precision Engineering
• /
• v.22 no.6 s.171
• /
• pp.152-158
• /
• 2005

The stress conditions acting on the practical structure are complex, and thus most cracks existing in the practical structures are under mixed-mode loading conditions. The effect of shear load component of mixed-mode loading acts more greatly in the stage of crack initiation and initial propagation than crack propagation stage. Hence, research on the behavior in the stage of crack initiation and initial propagation need to be examined in order to evaluate behavior of mixed-mode fatigue cracks. In this study, the crack tip displacement(CTD) was measured by using the direct measuring method(DMM). We examined the behavior at crack tip by determining crack opening load$(P_{op})$. From the test results, the propagation behavior of mixed-mode fatigue cracks was evaluated by considering mixed-mode crack closure. Also, we examined the characteristic of crack propagation under mixed-mode loading with crack propagation direction.

• The Korean journal of sports medicine
• /
• v.36 no.4
• /
• pp.180-188
• /
• 2018

Purpose: The purpose of this study is to identify bilateral differences of physeal closure of the lateral compartment of the elbow in osteochondritis dissecans (OCD) and related factors with premature physeal closure. Methods: Initial radiographs of the bilateral elbows in 40 baseball players with OCD (group I) were reviewed for the status of physeal closure of the lateral compartment; capitellum, radial head, lateral epicondyle. Forty baseball players with medial epicondylar apophysitis (group II) were enrolled as a control. Relative status of physeal closure of dominant elbow was defined as early, same, and delayed. Bilateral differences of the status of physeal closure were analyzed between groups, and according to the radiographic stages, extent of the lesions and demographic factors in group I. Results: Significant early physeal closures of dominant elbows were identified in group I in capitellum (group I, 55%; group II, 3%), radial head (group I, 53%; group II, 3%), and lateral epicondyle (group I 37%; group II, 5%). In group I, advanced stage and extended lesion showed early lateral compartment physeal closure especially in capitellum and radial head, and players with longer career length and limitation of motion showed early closure. Conclusion: Over the half of the adolescent baseball players with OCD demonstrated early radiocapitellar physeal closures of dominant elbow in initial presentation. Because premature physeal closure contributes to the development of arthritis without appropriate radiocapitellar remodeling, early detection of OCD is essential for prevention of arthritis and successful conservative management.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• v.49 no.5
• /
• pp.292-296
• /
• 2023

Generally, if the size of a lip cancer defect exceeds 30% of the lower lip, a local flap or free flap is recommended. However, defects up to 50% of the lower lip in size have been reconstructed successfully by primary closure without a local flap or free flap. In one case, an 80-year-old male farmer who had smoked for more than 50 years presented with squamous cell carcinoma of the lower lip and underwent mass resection and supraomohyoid neck dissection. The defect accounted for almost 2/3 of the lower lip and was repaired by primary closure with V-shaped resection. Biopsy results confirmed pT2N0cM0 stage II disease with clear margins. In another case, a 68-year-old male also presented with squamous cell carcinoma of the lower lip and underwent mass resection. The defect accounted for about half the size of the lower lip but was repaired by primary closure with V-shaped resection. Both patients experienced no discomfort while eating or speaking and were satisfied with the cosmetic and functional outcomes with no evidence of recurrence. Thus, direct closure can be considered even in large lower lip cancers.

• Proceedings of The Korean Cleft Lip And Palate Association
• /
• 2002.02a
• /
• pp.1-9
• /
• 2002

• The Journal of Engineering Geology
• /
• v.28 no.3
• /
• pp.349-365
• /
• 2018

The strain and acoustic emission (AE) signals of Pocheon granite were measured during uniaxial compression tests to investigate microcrack formation and damage. Crack closure, initiation, and damage stresses of each sample were determined through an analysis of the crack volumetric strain and stiffness. The samples experienced four damage stages according to stress levels: stage 1 = crack closure stage; stage 2 = elastic stage; stage 3 = crack initiation stage; stage 4 = crack damage stage. At least 75% of all AE signals occurred in stages 3 and 4, and different AE parameters were detected in the four stress stages. Rise time, count, energy, and duration clearly showed a tendency to gradually increase with the damage stress stage. In particular, the rise time, energy, and duration increased by at least 95% in stage 4 as compared with stage 1. However, the maximum amplitude showed a smaller increase, and the average frequency decreased slightly at higher stages. These results indicate that as the degree of rock damage increases, the crack size grows larger. The crack types corresponding to the AE signals were determined using the relationship between RA (Rise time / Amplitude) values and average frequencies. Tension cracking was dominant in all stress stages. Shear cracking was rare in stages 1 and 2, but increased in stages 3 and 4. These results are consistent with previous studies that reported cracking begins after samples have already been damaged. Our study shows that the state of rock damage can be investigated solely through an analysis of AE parameters when rocks are under compressive stress. As such, this methodology is suitable for understanding and monitoring the stress state of bedrock.

• Journal of Chest Surgery
• /
• v.17 no.4
• /
• pp.620-624
• /
• 1984

The optimal surgical management of the coarctation of the aorta associated with ventricular septal defect is still debated. Sixteen patients with the coarctation of the aorta and VSD were operated upon between November, 1980 and September 1984 at Seoul National University Hospital. They were 11 males and 5 females. All presented between 5 months and 11.5 years of age [mean= 5.5 years]. Presenting symptoms were congestive heart failure in 11 [69%], cyanosis on crying in 3 [19%], and frequent upper respiratory infection in 2 [13%]. In all cases two-stage operation was applied except one in which one stage procedure was taken. Resection and end-to-end anastomosis was used in 3, Dacron graft in 5, Gortex graft in 1, and left subclavian flap angioplasty in 4. Remaining two were missed on the operating table before correction of the coarctation of the aorta. Overall operative death in repair of the coarctation of the aorta were 3[20%]. Among the 12 survivors after repair of the coarctation of the aorta, 4 required patch closure of VSD, 2 required primary closure, 2 showed spontaneous closure [17%], one [8%] showed decrease in its size, 3 were under observation. It might be safe to approach the coarctation of aorta plus VSD with initial repair of the coarctation of the aorta without banding of main pulmonary artery and later management of VSD as usual manner in simple VSD.